title: Endometriosis for the primary care physician.
abstract: OBJECTIVE
  This review will empower the primary care provider (PCP) to evaluate, manage, and refer as needed adolescents with dysmenorrhea and/or chronic pelvic pain (CPP) who are suspected to have endometriosis.
  
  
  RESULTS
  Endometriosis is a common cause of CPP in adolescents who do not respond to primary medical treatment. The presentation in adolescents is unique, causing high rates of misdiagnosis or delayed treatment. Endometriosis-related pain has a marked negative impact on social and mental health. Simple treatments that are available in the primary care setting can alleviate pain and improve quality of life for these young women if initiated in a timely fashion.
  
  
  CONCLUSIONS
  Adolescents usually turn to their PCP for evaluation of dysmenorrhea and CPP. By maintaining a high index of suspicion, initiating treatment, and referring when needed, the PCP can have a tremendous effect on the patient's present and future quality of life.
authors.affiliation: Division of Adolescent/Young Adult Medicine, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. michal.youngster@childrens.harvard.edu
authors.forename: Michal
authors.initials: M
authors.lastname: Youngster
authors.forename: Marc R
authors.initials: MR
authors.lastname: Laufer
authors.forename: Amy D
authors.initials: AD
authors.lastname: Divasta
mesh_terms: D000293:Adolescent; D059350:Chronic Pain / Q000209:etiology; D003951:Diagnostic Errors; D004412:Dysmenorrhea / Q000209:etiology; D042241:Early Diagnosis; D004715:Endometriosis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D008487:Medical History Taking / Q000379:methods; D017699:Pelvic Pain / Q000209:etiology; D011320:Primary Health Care / Q000379:methods*; D011379:Prognosis